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NPI Code Detail

MEDICARE: DR. PATRICK J ST. GERMAIN D.C.

MEDICARE: DR. PATRICK J ST. GERMAIN D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111NI0900XInternist ChiropractorCH0005913FL
2111N00000XChiropractorCH5913FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538257530
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PATRICK J ST. GERMAIN D.C.
Provider Business Mailing Address
First Line : PO BOX 1657
Second Line :
City : APOPKA
State : FL
Zip : 32704-1657
Country : US
Telephone Number : 407-889-3223
Fax Number : 407-889-7263
Provider Business Practice Location Address
First Line : 877 S ORANGE BLOSSOM TRL
Second Line :
City : APOPKA
State : FL
Zip : 32703-6522
Country : US
Telephone Number : 407-889-3223
Fax Number : 407-889-7263
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2006
Last Update Date : 01/31/2018

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